| __________________________ DANISH AMERICAN HERITAGE SOCIETY (DAHS) 4105 STONE BROOKE ROAD AMES, IOWA 50010 515.232.7479 or 480.816.8725 |
| Membership Form The Newsletter provides DAHS a means of publicizing its activities as well as reporting on activities of members. It also serves to promote fellowship among those with an interest in events relating to Danish American and Danish Canadian life, culture, and history. Membership Application Please enroll me as a member of the Danish American Heritage Society GENERAL MEMBERSHIP (Individual or Family) $30.00 ASSOCIATE MEMBERSHIP (Individual or Family) $50.00 PATRON MEMBERSHIP (Individual or Family) $100.00 STUDENT MEMBERSHIP $15.00 I would like to support the Danish American Heritage Society with an additional contribution of $___________________________________________ NAME_________________________________________________________________ ADDRESS______________________________________________________________ CITY____________________________STATE______________ZIP_______________ E-MAIL ADDRESS______________________________________________________ Send membership dues to Danish American Heritage Society, c/o Grand View College, Third Floor West Old Main, 1200 Grandview Avenue, Des Moines, IA 50316-1599. Dues and contributions are deductible for income tax purposes. |